Objective To observe the clinical effects of the children with svstemic inflammatorv re- active syndrome(SIRS)receiving micro-dose heparin at early stage of the diseases.Methods The 53 cas- es diagnosed as SIRS were included in the randomized control trial.They were divided into two groups,26 cases in control group and 27 cases in therapeutic group.The children in control group received therapy for their primary diseases and other routine managements for SIRS.The children in therapeutic group received both above therapy and micro-dose heparin(5-10 U/kg,1 fime/6hours)via subcutaneous injection at earlv stages of diseases for 3 days.Results There were improvements in both control and therapeutic group, platelets count increased,C-reactive protein decreased (P＜0.01),there were significant diffemnce in platelets and C-reactive protein between two groups,the time of platelets recovery in therapeutic group [(28±9)h]Was less than that in control group[(55±14)h](P＜0.01).In therapeutic group,the dumtion of SIRS was shortened (P＜0.05),mortality and the incidence of multiple organ dysfunction svndrome (MODS)and disseminated intravascular eoagultion(DIC)were decreased significantly(P＜0.05).Con- clusion Early micro-dose heparin in SIRS can shorten its duration and decrease the mortality and the inci- dence of MODS in the children with SIRS.

Objective To investigate the characteristics of the heart rate variability(HRV) in the elderly bedridden patients. Methods 91 hospitalized patients (age≥60 years ) were divided into three groups according to the function independent measure: independent group (32 cases), partial dependent group (31 cases), dependent group(28 cases). Eight items of HRV were measured, including 24 hour standard deviation of successive normal-to-normal R-R interval(SDNN), total power (TP),standard deviation of all means of 5-minutes R-R interval all over 24 hour(SDANN), low frequency (LF), root mean squared successive difference(MSSD),Edingburgh Index(PNN50), high frequency(HF)and ratio of LF to HF(LF/HF). Results Seven items of HRV of the dependent group and partial dependent group were significantly lower than those of independent group (P0.05). SDNN and FIM were positively correlated (r =0.853, P=0.017). Other factors such as pathogen and the number of concomitant diseases did not affect on HRV in the elderly bedridden patients. Conclusions The HRV in the elderly bedridden patientsdecreased , the changes relatedthe decrease of the activity.

Purpose　To observe the changes of dynorphin-like immunoreactivities of neurons in some rat brain nuclei that are related to analgesia following exogenous administration of melatonin.　Methods　The experimental rats were divided into two groups, injected intraperitoneally with melatonin 110 mg/kg and with vehicle, respectively. One hour after the injection, the rat brain was processed for coronal sections. The sections were stained with immunohistochemical ABC technique. The integral optical density (IOD) of the stained section was measured by the computer-assisted image processing technique.　Results　Dynorphin-like immunoreactivities in the supraoptic nucleus and nucleus raphe dorsalis showed obvious reduction following the single injection of melatonin.IOD values in the above nuclei were decreased significantly (P<0.01) with the melatonin treatment. In the paraventricular nucleus of hypothalamus, periaqueductal gray and nucleus raphe magnus, there was no difference (P>0.05) about the IOD values between melatonin-treated group and vehicle-treated group.　Conclusions　Melatonin may result in the decrease of dynorphin content in the supraoptic nucleus and nucleus raphe dorsalis.